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Why are you interested in participating in this workshop ?*

Is there anything specific that you would like to address? (Please keep in mind that we do not take in any political stand or exclude people from participation. The workshop is meant for personal support and growth) **

Are you dealing with any specific disturbing events in your life right now? And could that influence your participation in this course?*

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Do you have any prior experience with meditation, mindfulness and/or compassion training?*

Do you work as a professional with mindfulness and/or compassion? If yes, could you give a short description?*

I understand that my participation in this program is entirely voluntary and I am free to withdraw at any time without penalty or prejudice, except for the non-refundable course fee. At the present time, however, I am planning to participate in the entire course.

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